NPIMap

Organization Active NPI

Reach Kidney Care LLC

  • Case Management Agency
  • Mobile, AL
National Provider Identifier
1710596309
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
REACH KIDNEY CARE LLC
Practice address
5920 Grelot Rd Ste C1
Mobile, AL 36609-3606
Phone
(251) 295-0667
NPI assigned
Jul 29, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Donovan Schultz
Title
President
Phone
(615) 327-3061

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Elbert P Tuttle Jr MD (238 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5920 Grelot Rd Ste C1
Mobile, AL 36609-3606

Mailing address

1633 Church St Ste 500
Nashville, TN 37203-2948
Phone (615) 327-3061

Other names 1

NPPES NPI Registry
  • Mobile REACH CKD Clinic Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2023.

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1710596309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032948",
            "telephone_number": "615-327-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 GRELOT RD STE C1",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093606",
            "telephone_number": "251-295-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile REACH CKD Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile REACH CKD Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.